Does Religiosity Predict Attrition From a Culturally-Informed Family Treatment for Schizophrenia That Targets Religious Coping?
Does Religiosity Predict Attrition From a Culturally-Informed Family Treatment for Schizophrenia That Targets Religious Coping?
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DOI：
10.1037/ccp0000234
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发表时间：
2017-10-01
影响因子：
5.9
通讯作者：
Ironson, Gail
中科院分区：
文献类型：
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作者：
Gurak, Kayla K.;de Mamani, Amy Weisman;Ironson, Gail
目的：患有严重精神疾病的人经常报告求助于宗教来帮助科普这种疾病。然而，人们对宗教如何影响精神分裂症患者及其照顾者对心理治疗计划的承诺知之甚少。方法：在一个样本的64个家庭参加了一个文化知情的家庭治疗精神分裂症的目标宗教，我们假设，患者和照顾者谁使用高水平的适应性宗教应对和低水平的适应不良宗教应对，将不太可能退出治疗比他们的同行。结果如下：根据假设，结果表明，更大的适应不良的宗教应对与较少的家庭治疗会议出席。与预期相反，更大的适应性宗教应对也与参加更少的家庭治疗会议。结论：研究结果表明，任何类型的宗教应对可能与家庭治疗的磨损水平较高。也许精神/宗教人士已经从他们的信仰和实践中得到了支持和指导，帮助他们应对精神疾病。结果也可能表明，有一个“宗教差距”，其中宗教个人认为他们的信仰和他们的心理健康提供者的信仰之间的脱节。需要指出的是，在这项研究中，那些过早退出的人，几乎所有人都是在宗教信仰治疗开始之前就退出的。修改家庭治疗在治疗早期引入的方式，以确保它们与宗教家庭的信仰和价值观一致，可能有助于减少自然减员。
Objective: People dealing with serious mental illness frequently report turning to religion to help cope with the disorder. However, little is known about how religion impacts commitment to psychotherapy programs for people with schizophrenia and their caregivers. Method: In a sample of 64 families enrolled in a culturally informed family treatment for schizophrenia that targets religiosity, we hypothesized that patients and caregivers who use high levels of adaptive religious coping and low levels of maladaptive religious coping, would be less likely to drop out of treatment than their counterparts. Results: In line with hypotheses, results demonstrated that greater maladaptive religious coping was associated with fewer family therapy sessions attended. Contrary to expectations, greater adaptive religious coping was also associated with attending fewer family therapy sessions. Conclusion: Results suggest that any type of religious coping may be associated with higher levels of attrition from family therapy. Perhaps spiritual/religious people are already getting support and guidance from their beliefs and practices that aid them in coping with mental illness. Results may also suggest that there is a "religiosity gap" in which religious individuals perceive a disconnect between their beliefs and the beliefs of their mental health providers. It is important to point out that in this study, of those who dropped out prematurely, nearly all did so before the religiosity segment of treatment even began. Modifying how family treatments are introduced early on in therapy to ensure they appear congruent with the beliefs and values of religious families may help to reduce attrition.